Individual provider Active NPI

Richard E Nichols, DDS

  • Dentist
  • Castle Pines, CO
National Provider Identifier
1902094527
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6668 Issued in CO
Practice address
250 Max Dr Ste 202
Castle Pines, CO 80108-9519
Phone
(720) 773-7799
Fax
(720) 773-0677
NPI assigned
Oct 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6668 CO Primary

Addresses

Primary practice location

250 Max Dr Ste 202
Castle Pines, CO 80108-9519

Mailing address

250 Max Dr Ste 202
Castle Pines, CO 80108-9519
Phone (720) 733-7799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190520002022 CO Order and Referring Only - DentistPractitioner - Dentist 5991048738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6668COMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1902094527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MAX DR STE 202",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801089519",
            "telephone_number": "720-733-7799",
            "fax_number": "720-733-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MAX DR STE 202",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801089519",
            "telephone_number": "720-773-7799",
            "fax_number": "720-773-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "RICHARD",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "6668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Pines, CO

Sources for this page

Verify at the official NPI Registry.